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Results of surgery to the damaged facial nerve

Published online by Cambridge University Press:  29 June 2007

P. A. Fagan*
Affiliation:
Consultant Otologist, St Vincent's Hospital, Sydney
K. K. Loh
Affiliation:
ENT Specialist, Singapore General Hospital, Outram Road, Singapore. 0316.
*
Dr P. A. Fagan, 352 Victoria Street, Darlinghurst 2010, Australia.

Abstract

Neurological surgery of the paralysed face can be rewarding if performed early using appropriate surgical techniques. The results of 32 operations are analyzed. Excellent restoration of facial function is achieved with early surgical intervention but some results are poor. The reasons for failure are analyzed.

Type
Main Articles
Copyright
Copyright © JLO (1984) Limited 1989

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References

Anderl, J. (1979). Cross face nerve transplant. Clinics in Plastic Surgery, 6: 433449.CrossRefGoogle ScholarPubMed
Barrs, D. M., Brackmann, D. E. and Hitselberger, W. E. (1984). Facial nerve anastomosis in the cerebello-pontine angle: A review of 24 cases. American Journal of Otology, 5: 269272.Google Scholar
Carlson, B. (1986) ‘Skeletal muscle, denervation, reinnervation and regeneration’ In: May, M. Ed. ‘The Facial Nerve New YorkThieme Inc.: 8598.Google Scholar
Conley, J. and Baker, D. C. (1979). Hypoglossal-facial nerve anastomosis for reinnervation of the paralyzed face. Plastic and Reconstructive Surgery, 63: 6372.CrossRefGoogle ScholarPubMed
Croxson, G. and Fagan, P. (1987) ‘Facial paralysis: Uncommon causes’, Journal of Otolaryngological Society of Australia, 6: 55.Google Scholar
Fisch, U. (1974). Facial paralysis in fractures of the petrous bone. Laryngoscope, 84: 21412154.CrossRefGoogle ScholarPubMed
Fisch, U. (1976). Cross face grafting in facial paralysis. Archives of Otolaryngology, 102: 453457.CrossRefGoogle ScholarPubMed
Fisch, U., Dobie, R. A., Gmur, A. and Felix, J. (1987). Intracranial facial nerve anastomosis. American Journal of Otology, 8: 2329.Google ScholarPubMed
Gacek, R. R. (1981). Comments on Pulec's paper: Early decompression of facial nerve in Bell's palsy. Annals of Otology, Rhinology and Laryngology, 90: 581583.CrossRefGoogle Scholar
Gavron, J. P. and Clemis, J. D. (1984). Hypoglossal facial nerve anastomosis: a review for forty cases caused by facial nerve injuries in the posterior fossa. Laryngoscope, 94: 14471450.CrossRefGoogle ScholarPubMed
Glasscock, M. E. III, Wiet, R. J., Hackson, C. G. and Dickins, J. R. E. (1979). Rehabilitation of the face following traumatic injury to the Facial Nerve. Laryngoscope, 89: 13891404.CrossRefGoogle ScholarPubMed
Goin, D. W. (1982). Proximal intratemporal facial nerve in Bell's palsy surgery. A study of correlating anatomical and surgical findings. Laryngoscope, 92: 263272.CrossRefGoogle ScholarPubMed
Hammerschlag, P. E., Brudny, J., Cusimano, R. and Cohen, N. L. (1987). Electromyographic feedback rehabilitation. Laryngoscope, 97: 705709.CrossRefGoogle ScholarPubMed
Hitselberger, W. F. (1974). Hypoglossal facial anastomosis. Otolaryngologic Clinics of North American, 7: 545550.CrossRefGoogle ScholarPubMed
House, J. and Brackmann, D. (1985). Facial nerve grading systems. Otolaryngology-Head and Neck Surgery, 93: 146–7.CrossRefGoogle Scholar
Lambert, D. R. and Brackmann, D. E. (1984). Facial paralysis in longitudinal temporal bone fractures: a review of 26 cases. Laryngoscope, 94: 10221026.CrossRefGoogle ScholarPubMed
Luxford, W. M. and Brackmann, D. E. (1985). Facial nerve substitution: A review of sixty-six cases. American Journal of Otology Supplement: 5559.Google Scholar
McCabe, B. F. (1972). Injuries to the facial nerve. Laryngoscope, 82: 18911896.CrossRefGoogle ScholarPubMed
May, M. (1979). Total facial nerve exploration: transmastoid extralabyrinthine subtemporal. Indications and results. Laryngoscope, 89: 906917.CrossRefGoogle Scholar
May, M. (1982). Facial nerve disorders. Update 1982. American Journal of Otology, 4: 7788.Google ScholarPubMed
May, M. (1985). Facial reanimation after skull base trauma. American Journal of Otology Supplement: 6267.Google ScholarPubMed
May, M., Klein, S. R. and Taylor, F. H. (1985). Idiopathic (Bell's) facial palsy: Natural history defies steroid or surgical treatment. Laryngoscope, 95: 406409.CrossRefGoogle ScholarPubMed
May, M., Blumenthal, F. and Taylor, F. H. (1981). Bell's Palsy: Surgery based upon prognostic indicators and results. Laryngoscope, 91: 20922103.CrossRefGoogle ScholarPubMed
Pensak, M. C., Jackson, C. G., Glasscock, M. E. III and Gulya, A. J. (1986). Facial reanimation with the VII-XIII anastomosis: Analysis of the functional and psychological results. Otolaryngology-Head and Neck Surgery, 94: 305310.CrossRefGoogle Scholar
Pulec, J. L. (1981). Panel on treatment of Bell's Palsy. Early decompression of facial nerve in Bell's palsy. Annals of Otology, Rhinology and Laryngology, 90: 581583.CrossRefGoogle Scholar